1
40
16
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1136/bmjstel-2017-000210" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/bmjstel-2017-000210</a>
Pages
163–168
Issue
4
Volume
3
Dublin Core
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Title
A name given to the resource
Medical judgement analogue studies with applications to spaceflight crew medical officer.
Publisher
An entity responsible for making the resource available
BMJ simulation & technology enhanced learning
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-10
Subject
The topic of the resource
Astronaut Health; Clinical Judgement; Decision-making; Medical Judgement; Simulation
Creator
An entity primarily responsible for making the resource
McCarroll Michele L; Ahmed Rami A; Schwartz Alan; Gothard Michael David; Atkinson Steven Scott; Hughes Patrick; Brito Jose Cepeda; Assad Lori; Myers Jerry; George Richard L
Description
An account of the resource
Background: The National Aeronautics and Space Administration (NASA) developed plans for potential emergency conditions from the Exploration Medical Conditions List. In an effort to mitigate conditions on the Exploration Medical Conditions List, NASA implemented a crew medical officer (CMO) designation for eligible astronauts. This pilot study aims to add knowledge that could be used in the Integrated Medical Model. Methods: An analogue population was recruited for two categories: administrative physicians (AP) representing the physician CMOs and technical professionals (TP) representing the non-physician CMOs. Participants completed four medical simulations focused on abdominal pain: cholecystitis (CH) and renal colic (RC) and chest pain: cardiac ischaemia (STEMI; ST-segment elevation myocardial infarction) and pneumothorax (PX). The Medical Judgment Metric (MJM) was used to evaluate medical decision making. Results: There were no significant differences between the AP and TP groups in age, gender, race, ethnicity, education and baseline heart rate. Significant differences were noted in MJM average rater scores in AP versus TP in CH: 13.0 (+/-2.25), 4.5 (+/-0.48), p=\textless0.001; RC: 12.3 (+/-2.66), 4.8 (+/-0.94); STEMI: 12.1 (+/-3.33), 4.9 (+/-0.56); and PX: 13.5 (+/-2.53), 5.3 (+/-1.01), respectively. Discussion: There could be a positive effect on crew health risk by having a physician CMO. The MJM demonstrated the ability to quantify medical judgement between the two analogue groups of spaceflight CMOs. Future studies should incorporate the MJM in a larger analogue population study to assess the medical risk for spaceflight crewmembers.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/bmjstel-2017-000210" target="_blank" rel="noreferrer noopener">10.1136/bmjstel-2017-000210</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Ahmed Rami A
Assad Lori
Astronaut Health
Atkinson Steven Scott
BMJ simulation & technology enhanced learning
Brito Jose Cepeda
Clinical Judgement
Decision-making
George Richard L
Gothard Michael David
Hughes Patrick
McCarroll Michele L
Medical Judgement
Myers Jerry
Schwartz Alan
simulation
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/1049909115575733" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1049909115575733</a>
Pages
498–502
Issue
5
Volume
33
Dublin Core
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Title
A name given to the resource
A Pilot Curriculum to Integrate Standardized Patient Simulation into Clinical Pastoral Education.
Publisher
An entity responsible for making the resource available
The American journal of hospice & palliative care
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-06
Subject
The topic of the resource
*Patient Simulation; Checklists; Clergy; Clinical Competence; clinical pastoral care; clinical pastoral education; CPE; Curriculum; Data Analysis Software; Descriptive Statistics; Experiential Learning; Human; Humans; Pastoral Care/*education; pastoral resident; Patient Simulation – Utilization; Performance Measurement Systems; Pilot Projects; Problem-Based Learning/*methods; Prospective Studies; simulation; Spiritual Care – Education; standardized patient; verbatim
Creator
An entity primarily responsible for making the resource
Ahmed Rami A; Damore Deborah R; Viti Joseph F; Hughes Patrick G; Miesle Rebecca; Ataya Ramsey; Atkinson S Scott; Gable Brad
Description
An account of the resource
INTRODUCTION: We describe a novel means of experiential learning for clinical pastoral care residents using standardized patient (SP) simulations. METHODS: A prospective cohort study involving 7 clinical pastoral care residents was performed. All residents underwent 2 verbatim SP sessions and 2 simulation sessions. After all sessions, residents completed a self-evaluation. Faculty completed an evaluation and then provided a debriefing session to all residents. RESULTS: Performance ratings were globally higher on simulated scenarios when compared to the verbatim sessions. CONCLUSIONS: More research in the field of pastoral care is needed to validate the learned professional skills that enhance a comprehensive training program through the use of medical simulation, verbatim reports, and clinical pastoral education (CPE) competencies. Medical simulation provides a promising teaching methodology for the training of CPE residents.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/1049909115575733" target="_blank" rel="noreferrer noopener">10.1177/1049909115575733</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Patient Simulation
2016
Ahmed Rami A
Ataya Ramsey
Atkinson S Scott
Checklists
Clergy
Clinical Competence
clinical pastoral care
clinical pastoral education
CPE
Curriculum
Damore Deborah R
Data Analysis Software
Department of Emergency Medicine
Descriptive Statistics
Experiential Learning
Gable Brad
Hughes Patrick G
Human
Humans
Miesle Rebecca
NEOMED College of Medicine
Pastoral Care/*education
pastoral resident
Patient Simulation – Utilization
Performance Measurement Systems
Pilot Projects
Problem-Based Learning/*methods
Prospective Studies
simulation
Spiritual Care – Education
standardized patient
The American journal of hospice & palliative care
verbatim
Viti Joseph F
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/2381468317715262" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/2381468317715262</a>
Pages
2381468317715262–2381468317715262
Issue
1
Volume
2
Dublin Core
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Title
A name given to the resource
Development, Validation, and Implementation of a Medical Judgment Metric.
Publisher
An entity responsible for making the resource available
MDM policy & practice
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-06
Subject
The topic of the resource
clinical judgment; decision making; medical judgment; simulation
Creator
An entity primarily responsible for making the resource
Ahmed Rami A; McCarroll Michele L; Schwartz Alan; Gothard M David; Atkinson S Scott; Hughes Patrick G; Cepeda Brito Jose Ramon; Assad Lori; Myers Jerry G; George Richard L
Description
An account of the resource
Background: Medical decision making is a critical, yet understudied, aspect of medical education. Aims: To develop the Medical Judgment Metric (MJM), a numerical rubric to quantify good decisions in practice in simulated environments; and to obtain initial preliminary evidence of reliability and validity of the tool. Methods: The individual MJM items, domains, and sections of the MJM were built based on existing standardized frameworks. Content validity was determined by a convenient sample of eight experts. The MJM instrument was pilot tested in four medical simulations with a team of three medical raters assessing 40 participants with four levels of medical experience and skill. Results: Raters were highly consistent in their MJM scores in each scenario (intraclass correlation coefficient 0.965 to 0.987) as well as their evaluation of the expected patient outcome (Fleiss's Kappa 0.791 to 0.906). For each simulation scenario, average rater cut-scores significantly predicted expected loss of life or stabilization (Cohen's Kappa 0.851 to 0.880). Discussion: The MJM demonstrated preliminary evidence of reliability and validity.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/2381468317715262" target="_blank" rel="noreferrer noopener">10.1177/2381468317715262</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Ahmed Rami A
Assad Lori
Atkinson S Scott
Cepeda Brito Jose Ramon
clinical judgment
Decision Making
George Richard L
Gothard M David
Hughes Patrick G
McCarroll Michele L
MDM policy & practice
medical judgment
Myers Jerry G
Schwartz Alan
simulation
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.1773" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.1773</a>
Pages
e1773–e1773
Issue
10
Volume
9
Dublin Core
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Title
A name given to the resource
Trauma Resuscitation in a Left Ventricular Assist Device Patient: An Emergency Medicine Simulation Scenario.
Publisher
An entity responsible for making the resource available
Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-10
Subject
The topic of the resource
atls; emergency medicine; left ventricular assist device; lvad; simulation; simulation scenario; trauma
Creator
An entity primarily responsible for making the resource
Kenyhercz William E; Perez Jorge L; Wolfe Adrienne N; Starkey Morgan R; Bagnoli Iii Dominic J; Ozgur Ahmed F; Ciullo Anna; Ahmed Rami
Description
An account of the resource
Heart failure is a leading cause of death worldwide. While heart transplantation is the most successful treatment for end-stage heart failure, the scarcity in donor hearts has ushered in the use of alternative therapies, such as the left ventricular assist device (LVAD). This patient population may present with low frequency, but they require disease-specific management. Learners may fine-tune these principles in a safe learning environment, such as a medical simulation lab. Here, we present a case in which a patient with a LVAD sustained serious traumatic injuries.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.7759/cureus.1773" target="_blank" rel="noreferrer noopener">10.7759/cureus.1773</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Ahmed Rami
atls
Bagnoli Iii Dominic J
Ciullo Anna
Cureus
Emergency Medicine
Kenyhercz William E
left ventricular assist device
lvad
Ozgur Ahmed F
Perez Jorge L
simulation
simulation scenario
Starkey Morgan R
trauma
Wolfe Adrienne N
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.463" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.463</a>
Pages
e463–e463
Issue
1
Volume
8
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Trauma Boot Camp: A Simulation-Based Pilot Study.
Publisher
An entity responsible for making the resource available
Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-01
Subject
The topic of the resource
atls; simulation; trauma; boot camp; crisis resource management; vicarious error management
Creator
An entity primarily responsible for making the resource
Ortiz Figueroa Fabiana; Moftakhar Yasmin; Dobbins Iv Arthur L; Khan Ramisha; Dasgupta Rahul; Blanda Rachel; Marchand Tiffany; Ahmed Rami
Description
An account of the resource
INTRODUCTION: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe the creation of an interdisciplinary boot camp in which interns' basic trauma knowledge, level of confidence, and teamwork skills are assessed. METHODS: We designed a one-day, boot camp curriculum for interns of various specialties with the purpose of improving communication and teamwork skills for effective management of acute trauma patients. Our curriculum consisted of a one-day, twelve-hour experience, which included trauma patient simulations, content expert lectures, group discussion of video demonstrations, and skill development workstations. Baseline and acquired knowledge were assessed through the use of confidence surveys, cognitive questionnaires, and a validated evaluation tool of teamwork and leadership skills for trauma Results: Fifteen interns entered the boot camp with an overall confidence score of 3.2 (1-5 scale) in the management of trauma cases. At the culmination of the study, there was a significant increase in the overall confidence level of interns in role delegation, leadership, Crisis Resource Management (CRM) principles, and in the performance of primary and secondary surveys. No significant changes were seen in determining and effectively using the Glasgow Coma Scale, Orthopedic splinting/reduction skills, and effective use of closed-loop communication. CONCLUSION: An intensive one-day trauma boot camp demonstrated significant improvement in self-reported confidence of CRM concepts, role delegation, leadership, and performance of primary and secondary surveys. Despite the intensive curriculum, there was no significant improvement in overall teamwork and leadership performance during simulated cases. Our boot camp curriculum offers educators a unique framework to which they can apply to their own training program as a foundation for effective leadership and teamwork training for interns.
Identifier
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<a href="http://doi.org/10.7759/cureus.463" target="_blank" rel="noreferrer noopener">10.7759/cureus.463</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Ahmed Rami
atls
Blanda Rachel
boot camp
crisis resource management
Cureus
Dasgupta Rahul
Dobbins Iv Arthur L
Khan Ramisha
Marchand Tiffany
Moftakhar Yasmin
Ortiz Figueroa Fabiana
simulation
trauma
vicarious error management
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.758" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.758</a>
Pages
e758–e758
Issue
8
Volume
8
Dublin Core
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Title
A name given to the resource
Necrotizing Fasciitis: An Emergency Medicine Simulation Scenario.
Publisher
An entity responsible for making the resource available
Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-08
Subject
The topic of the resource
emergency medicine; simulation; simulation scenario; interdisciplinary communication; necrotizing fasciitis; patient advocacy
Creator
An entity primarily responsible for making the resource
Galust Henrik; Oliverio Matthew H; Giorgio Daniel J; Espinal Alexis M; Ahmed Rami
Description
An account of the resource
Necrotizing fasciitis (NF) is a rare and rapidly progressing life-threatening infectious process. By progressing through a simulation involving a patient with NF and participating in a post-scenario debriefing, learners will gain the necessary skills and knowledge to properly diagnose and manage patients with NF. Learners are taught to initiate appropriate and timely treatment and to advocate on behalf of their patient after inappropriate pushback from consultants to improve outcomes.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.7759/cureus.758" target="_blank" rel="noreferrer noopener">10.7759/cureus.758</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Ahmed Rami
Cureus
Emergency Medicine
Espinal Alexis M
Galust Henrik
Giorgio Daniel J
Interdisciplinary Communication
Necrotizing fasciitis
Oliverio Matthew H
Patient Advocacy
simulation
simulation scenario
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.5116" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.5116</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
10-10
Issue
7
Volume
11
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Title
A name given to the resource
Simulation-based Training in Ectopic Pregnancy and Salpingostomy
Publisher
An entity responsible for making the resource available
Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-07
Subject
The topic of the resource
ectopic; education; General & Internal Medicine; medical; obstetrics and gynecology; Pregnancy; salpingectomy; salpingostomy; simulation
Creator
An entity primarily responsible for making the resource
Sabatina I A; Shah J V; Gothard D; Ballas D A
Description
An account of the resource
Objective Ectopic pregnancy leads to approximately 3% of deaths in pregnancy. Surgical management is indicated when patients are hemodynamically unstable or have signs of a ruptured ectopic pregnancy. Salpingectomy is more commonly performed, but salpingostomy is preferred in a patient with prior salpingectomy with a desire for future pregnancy. Due to the lack of exposure, salpingostomy is not frequently performed and most residents do not feel adequately trained. Our goal was to provide a hands-on simulation about ectopic pregnancy and salpingostomy in hopes that the simulation will improve the resident's confidence and knowledge in recognizing an ectopic pregnancy, identifying an appropriate candidate for surgical management, and performing a salpingostomy. Methods The educational initiative was aimed towards postgraduate year (PGY) 1-4 OB/GYN residents (n=11). Knowledge and confidence questionnaires were given to participants prior to and post-simulation. A gynecologic mannequin was modified by taking the existing pelvic organs and creating a tubal pregnancy. In the first part of the simulation, a hemodynamically unstable patient presented with lab and imaging findings consistent with an ectopic pregnancy. Once recognized and the decision made for surgical intervention, participants were transferred to a simulated operating room where they performed salpingostomy or salpingectomy on the mannequin. The simulation was followed by a debriefing session to discuss the actions and thought processes of participants, provide reflection, and incorporate improvement opportunities for future cases. Finally, participants engaged in a didactic lecture where they were educated about the incidence, presentation, and management of tubal ectopic pregnancy. Results Analysis of the knowledge questionnaires showed the median score pre- and post-intervention was 9 and 12, respectively, with a median change of 3 (p=0.001). The median confidence value pre- and post-intervention were 28 and 42, respectively, with a median value change of 12 (p<0.001). Conclusion Our intervention improved residents' confidence and knowledge in recognizing an ectopic pregnancy, identifying an appropriate candidate for surgical management, and performing a salpingostomy.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.7759/cureus.5116" target="_blank" rel="noreferrer noopener">10.7759/cureus.5116</a>
2019
Ballas D A
Cureus
Department of Obstetrics & Gynecology
ectopic
Education
General & Internal Medicine
Gothard D
Medical
NEOMED College of Medicine
NEOMED College of Medicine Student
NEOMED Student Publications
Obstetrics and gynecology
Pregnancy
Sabatina I A
salpingectomy
salpingostomy
September 2019 Update
Shah J V
simulation
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1136/bmjstel-2017-000260" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/bmjstel-2017-000260</a>
Pages
178-179
Issue
3
Volume
5
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Dublin Core
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Title
A name given to the resource
Simulation-based interprofessional conference: a focus on patient handoffs and critical communication
Publisher
An entity responsible for making the resource available
Bmj Simulation & Technology Enhanced Learning
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-07
Subject
The topic of the resource
communication; handoff; interprofessional; simulation
October 2019 Update
Creator
An entity primarily responsible for making the resource
Gable Brad; Ahmed Rami
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/bmjstel-2017-000260" target="_blank" rel="noreferrer noopener">10.1136/bmjstel-2017-000260</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Ahmed Rami
BMJ simulation & technology enhanced learning
Communication
Department of Emergency Medicine
Gable Brad
handoff
interprofessional
NEOMED College of Medicine
October 2019 Update
simulation
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1136/bmjstel-2017-000254" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/bmjstel-2017-000254</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
22-28
Issue
1
Volume
5
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NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Obstetrics & Gynecology
Affiliated Hospital
Summa Health Akron City Hospital
Dublin Core
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Title
A name given to the resource
Telepresent mechanical ventilation training versus traditional instruction: a simulation-based pilot study
Publisher
An entity responsible for making the resource available
Bmj Simulation & Technology Enhanced Learning
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-01
Subject
The topic of the resource
critical care; education; telepresence; simulation; Health Care Sciences & Services; telementoring; mechanical ventilation; society; critical-care medicine; DASH
Creator
An entity primarily responsible for making the resource
Ciullo A; Yee J; Frey J A; Gothard M D; Benner A; Hammond J; Ballas D; Ahmed R A
Description
An account of the resource
Background Mechanical ventilation is a complex topic that requires an in-depth understanding of the cardiopulmonary system, its associated pathophysiology and comprehensive knowledge of equipment capabilities. Introduction The use of telepresent faculty to train providers in the use of mechanical ventilation using medical simulation as a teaching methodology is not well established. The aim of this study was to compare the efficacy of telepresent faculty versus traditional in-person instruction to teach mechanical ventilation to medical students. Materials and methods Medical students for this small cohort pilot study were instructed using either in-person instruction or telementoring. Initiation and management of mechanical ventilation were reviewed. Effectiveness was evaluated by pre- and post-multiple choice tests, confidence surveys and summative simulation scenarios. Students evaluated faculty debriefing using the Debriefing Assessment for Simulation in Healthcare Student Version (DASH-SV). Results A 3-day pilot curriculum demonstrated significant improvement in the confidence (in person P<0.001; telementoring P=0.001), knowledge (in person P<0.001; telementoring P=0.022) and performance (in person P<0.001; telementoring P<0.002) of medical students in their ability to manage a critically ill patient on mechanical ventilation. Participants favoured the in-person curriculum over telepresent education, however, resultant mean DASH-SV scores rated both approaches as consistently to extremely effective. Discussion While in-person learners demonstrated larger confidence and knowledge gains than telementored learners, improvement was seen in both cases. Learners rated both methods to be effective. Technological issues may have contributed to students providing a more favourable rating of the in-person curriculum. Conclusions Telementoring is a viable option to provide medical education to medical students on the fundamentals of ventilator management at institutions that may not have content experts readily available.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/bmjstel-2017-000254" target="_blank" rel="noreferrer noopener">10.1136/bmjstel-2017-000254</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2019
Ahmed R A
Ballas D
Benner A
BMJ simulation & technology enhanced learning
Ciullo A
Critical Care
critical-care medicine
DASH
Department of Obstetrics & Gynecology
Education
Frey J A
Gothard M D
Hammond J
Health Care Sciences & Services
Journal Article or Conference Abstract Publication
mechanical ventilation
NEOMED College of Medicine
simulation
society
Summa Health Akron City Hospital
Telementoring
telepresence
Yee J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.xjep.2020.100322" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.xjep.2020.100322</a>
Volume
19
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Update Year & Number
March 2020 Update
NEOMED College
NEOMED College of Medicine; NEOMED College of Graduate Studies
NEOMED Department
Department of Family & Community Medicine
Dublin Core
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Title
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Using the Constructivist/Active Learning Theoretical Framework to develop and test a simulation-based interprofessional geriatric training curriculum
Publisher
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Journal of Interprofessional Education & Practice
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-06
Subject
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Education; Simulation; Geriatrics; Healthcare; Interprofessional
Creator
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Niederriter Joan; Hovland Cynthia; Hazelett Susan; Whitford Maureen; Drost Jen; Brown Diane; Morgan Abby; Kropp Denise; Sanders Margy; Gareri Michele; Fosnight Sue; Radwany Steven; McQuown Colleen; Ahmed Rami
Description
An account of the resource
The literature is lacking in theoretically grounded techniques to design interprofessional educational experiences that prepare students to function effectively in interprofessional teams dedicated to the management of complex geriatric patients. We describe the use of the Constructivist/Active Learning theoretical framework to develop an interprofessional simulation-based educational program for students in healthcare fields that combines didactics, skills practice, simulation, volunteer or simulated caregiver interaction, and team care planning into a scaffolded learning experience. Results of post-education surveys show high satisfaction with the education and growth in students’ interprofessional competencies. Our application of this theoretical framework provides a low-tech, yet highly effective method to teach interprofessional team skills in the management of complex geriatric syndromes.
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<a href="http://doi.org/10.1016/j.xjep.2020.100322" target="_blank" rel="noreferrer noopener">10.1016/j.xjep.2020.100322</a>
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Journal Article
2020
Ahmed Rami
Brown Diane
Department of Family & Community Medicine
Drost Jen
Education
Fosnight Sue
Gareri Michele
Geriatrics
Hazelett Susan
healthcare
Hovland Cynthia
interprofessional
Journal of Interprofessional Education & Practice
Kropp Denise
McQuown Colleen
Morgan Abby
NEOMED College of Graduate Studies
NEOMED College of Medicine
Niederriter Joan
Radwany Steven
Sanders Margy
simulation
Whitford Maureen
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.6752" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.6752</a>
Pages
e6752-e6752
Issue
1
Volume
12
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Update Year & Number
March 2020 Update
NEOMED College
NEOMED College of Medicine
NEOMED Department
NEOMED Student Publications
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Title
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Simulation-based Training Curriculum for the Management of Vaginal Cuff Dehiscence and Evisceration.
Publisher
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Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-01
Subject
The topic of the resource
medical education; Simulation; obstetrics and gynecology; bowel evisceration; vaginal cuff dehiscence
Creator
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Chapman Amelia D; Bashour Marla; Sagaria Lauren; Gothard David; Ballas Derek A
Description
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Objective Vaginal cuff dehiscence with evisceration (VCDE) is a serious, life-threatening complication of hysterectomy. Due to the high volume of hysterectomies performed in the U.S each year, it is likely that a practitioner will encounter VCDE during their career. Due to its infrequent occurrence, residents receive little exposure to it during training. Delayed diagnosis of VCDE can impede proper management and lead to severe, long-term complications or death. Our goal was to provide an opportunity for resident physicians to identify VCDE and practice performing a reduction of prolapsed bowel and vaginal cuff repair through hands-on simulation in hopes that the simulation would improve the residents' confidence and knowledge in recognizing and managing future VCDE cases. Methods Obstetrics and Gynecology residents postgraduate year (PGY) 1-4 participated in this study (n=13). Before and after the simulated case, a knowledge test covering VCDE recognition and management and a confidence survey were given to the participants. A gynecologic mannequin was modified by placing simulated bowel into the abdominal cavity with a portion extending through a vaginal cuff and protruding from the vaginal introitus. For the simulation, a hemodynamically unstable patient presented with findings consistent with a VCDE. Once the decision to proceed to surgery was made, participants were transferred to a simulated operating room where they performed a reduction of prolapsed bowel and vaginal cuff closure either laparoscopically or vaginally on the mannequin. A debriefing session was held post-simulation to discuss management and thought processes, as well as reflect on their performance and discuss improvement strategies for future cases. Finally, the residents participated in a brief didactic lecture on education about the incidence, presentation, and management of VCDE. Results Analysis of the knowledge questionnaires showed the median score and interquartile range (IQR) pre- and post-simulation was 15(12-28) and 20(19-22) respectively, with a median score increase (and IQR) of 5(3.5-8.5) (p=0.001). The confidence score had pre- and post-simulation median scores (and IQRs) of 28(20-34.5) and 40(37.5-46) respectively, with a median score increase (and IQR) of 15(8-20.5) (p=0.001). Conclusions Our intervention improved residents' knowledge and confidence in recognizing VCDE, identifying the need for surgical management, and performing a reduction of prolapsed bowel and vaginal cuff repair.
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<a href="http://doi.org/10.7759/cureus.6752" target="_blank" rel="noreferrer noopener">10.7759/cureus.6752</a>
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Journal Article
2020
Ballas Derek A
Bashour Marla
bowel evisceration
Chapman Amelia D
Cureus
Gothard David
Medical education
NEOMED College of Medicine Student
NEOMED Student Publications
Obstetrics and gynecology
Sagaria Lauren
simulation
vaginal cuff dehiscence
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.15766/mep_2374-8265.10867" target="_blank" rel="noreferrer noopener">http://doi.org/10.15766/mep_2374-8265.10867</a>
Pages
10867-10867
Volume
15
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Update Year & Number
March 2020 Update
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Family & Community Medicine
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Title
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Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students.
Publisher
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MedEdPORTAL : the journal of teaching and learning resources
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-12
Subject
The topic of the resource
Psychiatry; Simulation; OSCE; Telemedicine; Insomnia; Family Medicine; Rural; Clinical Skills Assessment; Computer-Based Simulation; Standardized Patient
Creator
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Cantone Rebecca E; Palmer Ryan; Dodson Lisa Grill; Biagioli Frances E
Description
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Introduction: Telemedicine is a growing practice with minimal training in US medical schools. Telemedicine OSCE (TeleOSCE) simulations allow students to practice this type of patient interaction in a standardized way. Methods: The Insomnia-Rural TeleOSCE was implemented as part of a required clinical clerkship for students in their second, third, or fourth year of medical school. This case addressed a patient with depression in a medically underserved area. Students performed it as a formative experience and received immediate feedback. They then completed a survey to evaluate the experience. Results: Students (n = 287) rated the quality of the experience 7.59 out of 10. Comments showed that 61 learners thought the TeleOSCE was a positive experience, 35 wanted more teaching about telemedicine, 28 improved their understanding of barriers to care, 25 expressed concern over minimal other training, 23 found the TeleOSCE important and challenging, 16 appreciated the differences between in-person and remote visits, and 15 wanted fewer distractions. Eight students worried about how they would be judged, five learned from the technical limitations, five requested more time, five were skeptical of the utility, and five saw telemedicine as triage. Discussion: The TeleOSCE allows learners to gain exposure to telemedicine in a safe simulated teaching environment and assesses learner competencies. The TeleOSCE also improves students' understanding of barriers to care and the utility of telemedicine. It logistically allows faculty to directly assess distance students on their clinical reasoning and patient communication skills.
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<a href="http://doi.org/10.15766/mep_2374-8265.10867" target="_blank" rel="noreferrer noopener">10.15766/mep_2374-8265.10867</a>
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Journal Article
2019
Biagioli Frances E
Cantone Rebecca E
Clinical Skills Assessment
Computer-Based Simulation
Department of Family & Community Medicine
Dodson Lisa Grill
family medicine
INSOMNIA
MedEdPORTAL : the journal of teaching and learning resources
NEOMED College of Medicine
osce
Palmer Ryan
Psychiatry
rural
simulation
standardized patient
Telemedicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/2382120520925061" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/2382120520925061</a>
Pages
2382120520925061
Volume
7
ISSN
2382-1205
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Update Year & Number
August 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
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Title
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Medical decision-making in the physician hierarchy: A pilot pedagogical evaluation
Publisher
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Journal of Medical Education and Curricular Development
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-07
Subject
The topic of the resource
education; clinical judgment; medical judgment; simulation; care; decision-making; medical education; students; improve; knowledge retention; medical judgment; Skill retention
Creator
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Rosasco J; McCarroll ML; Gothard MD; Myers Jerry; Hughes P; Schwartz A; George RL; Ahmed RA
Description
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Purpose: Recently, the American College of Graduate Medical Education included medical decision-making as a core competency in several specialties. To date, the ability to demonstrate and measure a pedagogical evolution of medical judgment in a medical education program has been limited. In this study, we aim to examine differences in medical decision-making of physician groups in distinctly different stages of their postgraduate career. Methods: The study recruited physicians with a wide spectrum of disciplines and levels of experience to take part in 4 medical simulations divided into 2 categories, abdominal pain (biliary colic [BC] and renal colic [RC]) or chest pain (cardiac ischemia with ST-segment elevation myocardial infarction [STEMI] and pneumothorax [PTX]). Evaluation of medical decision-making used the Medical Judgment Metric (MJM). The targeted selection criteria for the physician groups are administrative physicians (APs), representing those with the most experience but whose current duties are largely administrative; resident physicians (RPs), those enrolled in postgraduate medical or surgical training; and mastery level physicians (MPs), those deemed to have mastery level experience. The study measured participant demographics, physiological responses, medical judgment scores, and simulation time to case resolution. Outcome differences were analyzed using Fisher exact tests with post hoc Bonferroni-adjustedztests and single-factor analysis of variance F tests with post hoc Tukey honestly significant difference, as appropriate. The significance threshold was set atP < .05. Effect sizes were determined and reported to inform future studies. Results: A total of n = 30 physicians were recruited for the study with n = 10 participants in each physician group. No significant differences were found in baseline demographics between groups. Analysis of simulations showed a significant (P = .002) interaction for total simulation time between groups RP: 6.2 minutes (+/- 1.58); MP: 8.7 minutes (+/- 2.46); and AP: 10.3 minutes (+/- 2.78). The AP MJM scores, 12.3 (+/- 2.66), for the RC simulation were significantly (P = .010) lower than the RP 14.7 (+/- 1.15) and MP 14.7 (+/- 1.15) MJM scores. Analysis of simulated patient outcomes showed that the AP group was significantly less likely to stabilize the participant in the RC simulation than MP and RP groups (P = .040). While not significant, all MJM scores for the AP group were lower in the BC, STEMI, and PTX simulations compared with the RP and MP groups. Conclusions: Physicians in distinctly different stages of their respective postgraduate career differed in several domains when assessed through a consistent high-fidelity medical simulation program. Further studies are warranted to accurately assess pedagogical differences over the medical judgment lifespan of a physician.
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<a href="http://doi.org/10.1177/2382120520925061" target="_blank" rel="noreferrer noopener">10.1177/2382120520925061</a>
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journalArticle
2020
Ahmed RA
August 2020 List
care
clinical judgment
Decision-making
Department of General Surgery
Education
George RL
Gothard MD
Hughes P
improve
Journal of medical education and curricular development
journalArticle
knowledge retention
McCarroll ML
Medical education
medical judgment
Myers Jerry
NEOMED College of Medicine
Rosasco J
Schwartz A
simulation
Skill retention
Students
Summa Health System Akron City Hospital
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.12382" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.12382</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Issue
12
Volume
12
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Update Year & Number
February 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED College of Medicine Student
NEOMED Department
NEOMED Student Publications
Department of Obstetrics and Gynecology
Affiliated Hospital
Summa Health System
Dublin Core
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Title
A name given to the resource
A Simulation Model for External Cephalic Version
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-12-30
Subject
The topic of the resource
education; simulation; external cephalic version; training model
Creator
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Baaklini Carla;Menassa N;Larios JT;Ballas DA
Description
An account of the resource
Breech presentation complicates as many as 4% of all deliveries. External cephalic version (ECV) is a procedure that involves the external rotation of the fetus through the mother's abdomen from a breech position into a cephalic position. It provides a beneficial alternative to cesarean section (CS) as it is less invasive, more cost-effective, and mitigates many of the maternal health risks associated with CS. Though ECV has become more widely used in recent years, studies have shown that a large percentage of residency programs lack proper training pertaining to ECV, increasing the need for additional educational intervention. A well-supported method of procedural training that has demonstrated efficacy among trainees is the incorporation of simulation models. While many models have already been developed for various obstetrical procedures, few easily reproducible models currently exist for ECV. The purpose of this study was to develop a reconstructible ECV model that could be utilized for practice by trainees in the field of obstetrics. This study's proposed ECV model along with a lecture that was presented to residents and data on the effectiveness of the model and comfort with performing the procedure was collected and analyzed. The results demonstrated that when compared to baseline prior to training, levels of comfort with performing an ECV increased amongst trainees after practicing on the model.
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<a href="http://doi.org/10.7759/cureus.12382" target="_blank" rel="noreferrer noopener">10.7759/cureus.12382</a>
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journalArticle
Publisher
An entity responsible for making the resource available
Cureus
2020
Baaklini Carla
Ballas DA
Cureus
Department of Obstetrics & Gynecology
Education
external cephalic version
February 2021 List
journalArticle
Larios JT
Menassa N
NEOMED College of Medicine
NEOMED College of Medicine Student
NEOMED Student Publications
simulation
training model
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.15858" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.15858</a>
Issue
6
Volume
13
ISSN
2168-8184
Search for Full-text
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Update Year & Number
July 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Staff Perspectives of Mass Casualty Incident Preparedness
Publisher
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Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-06-23
Subject
The topic of the resource
qualitative; DISASTER; emergency preparedness; emergency response plan; in situ simulation; mass casualty incident; quality improvement projects; RESPOND; SIMULATION; STUDENTS
Creator
An entity primarily responsible for making the resource
Moran ME; Zimmerman JR; Chapman AD; Ballas DA; Blecker N; George RL
Description
An account of the resource
Introduction Mass casualty incidents (MCI) are low-frequency, high-risk events that disrupt the day-to-day operations of medical centers. Day-to-day protocols are insufficient for effectively managing MCI events, creating a need to develop and test MCI-specific protocols. The aim of this project was to utilize interviews to gain insight into staff experience and perspective on MCIs and their institution's response plans. Methods Staff members who participated in an MCI drill were asked semi-structured interview questions regarding their perspectives on their current priorities, the information needed to perform their role, and their greatest concerns about an MCI. This quality improvement (QI) project utilized a qualitative methodology to thematically organize the results of the staff responses. Results A total of 64 staff members with various levels of patient care experience were interviewed to reach thematic saturation. The use of staff interviews helped to identify the four primary themes that emerged, which were: 1) process, 2) supplies and resources, 3) communication, and 4) roles. Furthermore, each theme also included a number of subthemes. Conclusions This project demonstrated the importance of staff experiences related to MCI simulation training and preparedness, which may be useful for future training and emergency response planning. Additionally, the results may be helpful for other institutions when building a robust MCI simulation training program or designing an emergency response plan.
Identifier
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<a href="http://doi.org/10.7759/cureus.15858" target="_blank" rel="noreferrer noopener">10.7759/cureus.15858</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2021
Ballas DA
Blecker N
Chapman AD
Cureus
Department of General Surgery
disaster
emergency preparedness
emergency response plan
George RL
in situ simulation
journalArticle
July 2021 List
mass casualty incident
Moran ME
NEOMED College of Medicine
Qualitative
quality improvement projects
RESPOND
simulation
Students
Summa Health System Akron City Hospital
Zimmerman JR
-
Hyperlink
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URL
https://doi.org/10.7759/cureus.24650
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Computational Fluid Dynamic Evaluation of Deep Inferior Epigastric Artery Perforator (DIEP) Flap End-to-Side Anastomosis
Creator
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Sanjay K Jinka
Ashoka G Jinka
Jeffrey E Janis
Date
A point or period of time associated with an event in the lifecycle of the resource
2022
Description
An account of the resource
Background End-to-side (ETS) microvascular anastomoses are utilized within deep inferior epigastric artery perforator (DIEP) flap breast reconstruction procedures. Optimization of these anastomoses via a computational fluid dynamic (CFD) model can minimize ischemia and contribute to flap success. Methods A CFD model of a deep inferior epigastric artery to internal mammary artery anastomosis was constructed with OpenFOAM software (OpenCFD Ltd., Bracknell, UK). Blood was modelled as an incompressible Newtonian fluid. Viscosity and density were assumed to be constant throughout the simulation. Mean arterial pressure was held constant at 100 mmHg. Individual virtual meshes were created for 30-, 45-, 60-, 75-, and 90-degree anastomotic angle simulations. Fluid flow was visualized with line integral convolution (LIC) and pure fluid velocity (PFV) techniques. Vessel wall shear stress (WSS) was also visualized. Results The LIC revealed blood recirculation was associated with large anastomotic angles with minimal to no recirculation seen in the 45- and 30-degree simulations. Any recirculation visualized was confined to the toe of the bifurcation. This recirculation was associated with stagnation in the toe of the graft vessel as well, as visualized by the PFV model. A linear relationship was identified between anastomotic angle and percentage of stagnant fluid, with stagnation increasing as the anastomotic angle increased. Wall shear stress increased with the anastomotic angle and was concentrated in the heel and toe of the model. Conclusions The CFD modelling shows that increased acuity of anastomotic angles in ETS DIEP flaps is essential to minimize stagnation, recirculation, and WSS. Successful implementation of this recommendation may directly decrease the risk of flap failure from ischemia.
Source
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Cureus
. 2022 May 1;14(5):e24650. doi: 10.7759/cureus.24650. eCollection 2022 May.
Language
A language of the resource
English
2022
computational fluid dynamics
diep flap
end-to-side anastomosis
Free flap
ischemia
simulation